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Organization

DHS/OFFICE OF FINANCIAL SERVICES IRS/EOPC/BMRC/EOTC/OSH/OSH-P

Active
Other names
Oregon State Hospital Pharmacy, Oregon State Hospital Salem
Organization subpart
No

Provider details

NPI number
Authorized official
KAREN JAMIESON (CHIEF FINANCIAL OFFICER)
(503) 572-7663
Entity
Organization

Contact information

Practice address
2600 CENTER ST NE, SALEM, OR 97301-2682
(503) 945-9840
Mailing address
2600 CENTER ST NE, SALEM, OR 97301-2682
(503) 945-9840

Taxonomy

Speciality
Code
Description
License number
State
3336I0012X
Institutional Pharmacy
IP 0002227 CS
OR
3336L0003X
Long Term Care Pharmacy
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3812636
NCPDP
OR
Enumeration date
09/12/2006
Last updated
03/15/2023
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